GWVAS

Annual Banquet Reservation Form


Wednesday, June 12, 2019

Doors Open at 6:00 p.m.

Reservation Price is $37.00 for adults and $30 for children ages 12 qnd under.

Reservation Deadline is Monday, June 3, 2019

 

Name: ___________________________________________________


Address: _________________________________________________


City/State/Zip: ____________________________________________


Phone Number or Email Address for reservation confirmation

_____________________________________________


____ Please send me special directions from where I live.


Please reserve me  _____ adult dinner(s) at $37.00 Each.  Total: __________


Please reserve me  _____ child dinner(s) at $30.00 each.   Total: __________


                                                                            Total Enclosed: ___________


Make check payable to GWVAS and mail to:

GWVAS Annual Banquet

P.O. Box 535

Dallas, PA 18612








GWVAS Banquet Name Badge Form




Please help us to have your name badges prepared for your arrival by clearly printing the names of all of those who are attending with this reservation.

____________________________________________


____________________________________________


_____________________________________________


_____________________________________________


_____________________________________________


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Please print and send this form along with your reservation and payment.


Thank you!